| NPI | 1740433606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R. ELLIS Owner/President 239-872-4641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA40808) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |